Plantar and dorsal approaches for excision of morton’s neuroma: a comparison study

• DOI: 10.1186/s12891-022-05858-w
• Publication Date: 2022-10-06T04:02:32Z
• Authors: Wenpeng Xu; Ning Zhang; Zhengxun Li; Yifan Wang; Xiucun Li; Yang Wang; Haipeng Si; Yong Hu
• Keywords: Neuroma; Neurectomy; Metatarsalgia; Foot (prosody)

Morton's neuroma is a painful enlargement of the plantar digital nerve between metatarsal heads that causes pain forefoot. Several approaches have been used to treat neuroma, each them having distinct advantages and disadvantages.The purpose this study was investigate compare clinical outcomes neurectomy in treatment through dorsal approaches.A total 20 patients with mean age 48.5 ± 13.0 years (range: 19-66 years) who underwent excision did not respond conservative were retrospectively analysed from June 2014 2021. All neurectomies performed using or approach. Outcomes evaluated visual analogue scale (VAS) scores, American Orthopedic Foot Ankle Society (AOFAS) Ability Measure (FAAM), complications. The appearance index (AI) also assess influence foot on quality life after surgery.Eight by approach, 12 average follow-up time 28.9 12.9 months 15-72 months). No statistically significant difference found approach groups respect postoperative measured VAS score. AOFAS scores FAAM significantly different groups. complications reported group less than those group, mainly discomfort wearing shoes. AI different.The both resulted satisfactory outcomes. However, surgery had Our recommendation surgeons should choose they are most familiar which confident performing. In addition, recommended if patient needs better appearance.